Active NPI
Mirna Jadan, MD
- Family Medicine Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301509024
- Practice address
- 2370 E Stadium Blvd # 2049
Ann Arbor, MI 48104-4811 - Phone
- (650) 503-9990
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301509024 | MI | Primary |
Addresses
Primary practice location
2370 E Stadium Blvd # 2049
Ann Arbor, MI 48104-4811
Mailing address
1440 N Edgewood St FL 4
Arlington, VA 22201-7037
Phone (202) 335-0428
Other practice location 1
1440 N Edgewood St Fl 4
Arlington, VA 22201-7037
Phone (202) 335-0428
Other practice location 2
17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Phone (248) 890-8940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI, IN, FL, OR, WA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230530000408 | MI | Practitioner - Family Practice | 5294157137 | Reassigns benefits to 3 organizations |
| I20250214000829 | WI | Practitioner - Family Practice | 5294157137 | Reassigns benefits to 1 organization |
| I20250829000742 | IN | Practitioner - Family Practice | 5294157137 | Reassigns benefits to 1 organization |
| I20250912001023 | FL | Practitioner - Family Practice | 5294157137 | Reassigns benefits to 1 organization |
| I20251031002974 | OR | Practitioner - Family Practice | 5294157137 | Reassigns benefits to 1 organization |
| I20251031003968 | WA | Practitioner - Family Practice | 5294157137 | |
| I20260317001997 | MN | Practitioner - Family Practice | 5294157137 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oakland Univ, William Beaumont School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17855 Dallas Pkwy
Suite 200
Dallas, TX 75287-6818
515 E 11 Mile Rd
Madison Heights, MI 48071-3701
6400 Shafer CT
Suite 300
Rosemont, IL 60018-4994
Hospital & facility affiliations
- Accentcare Fairview Hospice - West, LLC
- Seasons Hospice & Palliative Care of Michigan
- Accentcare Hospice & Palliative Care of Broward County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Seasons Hospice & Palliative Care of Oregon, LLC | Family Medicine | Current | Accepting new patients |
| Seasons Hospice & Palliative Care of Wisconsin, LLC | Family Medicine | Current | Accepting new patients |
| Accentcare Medical Group of Minnesota, PC | Current | Accepting new patients | |
| Brian T. Gietzen, M. D., P. C. | Current | Accepting new patients | |
| Seasons Medical Group of Michigan, PC | Current | Accepting new patients | |
| The Purerx Dba Promaids LLC | Current | Accepting new patients | |
| Seasons Medical Group of Oregon PC | Current | Accepting new patients | |
| Accentcare Medical Group of Wisconsin, S.C. | Current | Accepting new patients | |
| Seasons Medical Group of Florida PA | Family Medicine | Current | Accepting new patients |
| Seasons Medical Group of Indiana, PC | Current | Accepting new patients | |
| Accentcare Medical Group of Washington, PC | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Indiana, LLC | Family Medicine | Past | Accepting new patients |
| Seasons Hospice & Palliative Care of Broward Florida LLC | Family Medicine | Past | Accepting new patients |
| Seasons Hospice & Palliative Care of Pasco County, LLC | Family Medicine | Past | Accepting new patients |
| Seasons Hospice & Palliative Care of Tampa, LLC | Family Medicine | Past | Accepting new patients |
Locations
1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900
5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
1408 N West Shore Blvd
Ste 260
Tampa, FL 33607
Phone (813) 607-2630
2644 Cypress Ridge Blvd
Ste 104
Wesley Chapel, FL 33544
Phone (813) 364-0311
6640 Intech Blvd
Ste 270
Indianapolis, IN 46278
Phone (317) 885-4200
27355 John R Rd
Madison Hts, MI 48071
Phone (248) 291-2698
1460 Walton Blvd
Ste 200
Rochester Hills, MI 48309
Phone (248) 650-1800
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
767 Eustis St
Ste 150
Saint Paul, MN 55114
Phone (612) 721-2491
6500 S Macadam Ave
Ste 160
Portland, OR 97239
Phone (503) 265-6600
17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800
15 S Grady Way
Ste 433
Renton, WA 98057
Phone (425) 214-7027
6737 W Washington St
Ste 2150
West Allis, WI 53214
Phone (414) 203-8310
6737 W Washington St
West Allis, WI 53214
Phone (414) 246-2357
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Madison Heights, MI
- NPI 1841551074
MI
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- West Allis, WI
- NPI 1275976979
WI
-
- Internal Medicine Physician
- Miami, FL
- NPI 1710238381
Family Medicine, FL
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Indianapolis, IN
- NPI 1861809451
IN
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1548774375
OR
-
- Integrative Medicine Physician
- Royal Oak, MI
- NPI 1467226779
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Saint Paul, MN
- NPI 1376387134
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1801630694
-
- Community Based Hospice Care Agency
- Portland, OR
- NPI 1669891032
Family Medicine
-
- Community Based Hospice Care Agency
- West Allis, WI
- NPI 1407853112
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Madison Heights, MI
- NPI 1306891825
Hospice
-
- Community Based Hospice Care Agency
- Saint Paul, MN
- NPI 1174139935
Hospice
-
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772841600000",
"number": "1396368643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N EDGEWOOD ST FL 4",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222017037",
"telephone_number": "202-335-0428",
"fax_number": "202-985-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 E STADIUM BLVD # 2049",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044811",
"telephone_number": "650-503-9990"
}
],
"practiceLocations": [
{
"address_1": "1440 N Edgewood St Fl 4",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222017037",
"country_code": "US",
"telephone_number": "202-335-0428",
"fax_number": "202-985-6906",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17855 Dallas Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752876857",
"country_code": "US",
"telephone_number": "248-890-8940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JADAN",
"first_name": "MIRNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2026-03-07",
"certification_date": "2026-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301509024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.